Lipperman-Kreda Sharon, Sanders Emile, Peach Julie, Brantley Shelly, Hunt Geoffrey, Antin Tamar M J
Center for Critical Public Health, The Institute for Scientific Analysis, Alameda, CA, USA.
Prevention Research Center, Pacific Institute for Research and Evaluation, Berkeley, CA, USA.
J Psychoactive Drugs. 2025 Jan 7:1-10. doi: 10.1080/02791072.2025.2449919.
This mixed-methods study investigated the role of medicinal cannabis use among younger adults who live in rural communities and experience high levels of cumulative social disadvantage (CSD). Results are based on cross-sectional surveys and online interviews with 153 younger adults (18-35-years old) in rural California. We assessed participants' levels of CSD (high, medium, and low) and examined associations with perceived general physical and mental health and with medicinal use of cannabis (MUC). Qualitative analyses were then conducted to better understand the roles of cannabis use in the lives of study participants with high versus low CSD. High CSD was associated with perceived poorer physical and mental health and with MUC, but not past month general cannabis use. Qualitative findings emphasized the significant role of MUC for rural young people with high CSD to reduce stress and manage physical and mental health. Findings suggest the need to address CSD inequities in rural communities, such as increasing access to health care, to reduce health inequities and the reliance on cannabis use for managing mental and physical health.
这项混合方法研究调查了生活在农村社区且累积社会劣势（CSD）程度较高的年轻人使用药用大麻的情况。研究结果基于对加利福尼亚州农村地区153名年轻人（18至35岁）的横断面调查和在线访谈。我们评估了参与者的CSD水平（高、中、低），并研究了其与感知到的总体身心健康以及药用大麻使用（MUC）之间的关联。随后进行了定性分析，以更好地理解大麻使用在CSD高与低的研究参与者生活中的作用。高CSD与较差的身心健康感知以及MUC相关，但与过去一个月的一般大麻使用无关。定性研究结果强调了MUC对CSD高的农村年轻人减轻压力以及管理身心健康的重要作用。研究结果表明，有必要解决农村社区的CSD不平等问题，例如增加医疗保健可及性，以减少健康不平等以及减少为管理身心健康而对大麻使用的依赖。
